ATI Maternal Newborn Assessment Practice
Questions
Instructions
The following 80 multiple-choice questions are designed to test your knowledge
in Antepartum, Intrapartum, Postpartum Care, Newborn Assessment and Com-
plications, Lactation, Medications, and Patient Teaching. Each question has four
answer choices (A–D). Select the best answer for each question. An answer key
is provided at the end.
Questions
1. A 28-year-old primigravida at 32 weeks gestation reports decreased fetal
movement. What is the nurse’s priority action?
A. Administer oxygen via nasal cannula
B. Perform a nonstress test
C. Prepare for immediate delivery
D. Instruct the client to rest for 2 hours
Correct Answer: B
2. During labor, a client’s fetal heart rate shows late decelerations. What
should the nurse do first?
A. Increase IV fluid rate
B. Position the client on her left side
C. Notify the healthcare provider immediately
D. Apply a fetal scalp electrode
Correct Answer: B
3. A postpartum client 2 days after delivery reports heavy vaginal bleeding
with large clots. What is the nurse’s priority assessment?
A. Fundal height and firmness
B. Lochia color and odor
C. Perineal pain level
D. Blood pressure and pulse
Correct Answer: A
4. A newborn has a heart rate of 90 bpm while sleeping. What is the nurse’s
priority action?
A. Stimulate the newborn to cry
1
, B. Document the finding as normal
C. Administer supplemental oxygen
D. Notify the pediatrician
Correct Answer: A
5. A breastfeeding client reports nipple soreness. What should the nurse rec-
ommend?
A. Apply lanolin cream after feedings
B. Use a nipple shield during feedings
C. Pump instead of breastfeeding
D. Clean nipples with soap before feeding
Correct Answer: A
6. A client at 38 weeks gestation is prescribed nifedipine for preterm labor.
What should the nurse monitor for?
A. Hypertension
B. Hypotension
C. Hyperglycemia
D. Tachycardia
Correct Answer: B
7. A nurse is teaching a pregnant client about gestational diabetes. Which
statement indicates understanding?
A. “I should avoid all carbohydrates.”
B. “I need to monitor my blood sugar daily.”
C. “I can stop insulin after delivery.”
D. “Exercise is not safe during pregnancy.”
Correct Answer: B
8. A client at 20 weeks gestation has a positive quadruple screen. What is the
next step?
A. Schedule an amniocentesis
B. Repeat the quadruple screen
C. Administer RhoGAM
D. Monitor fetal heart rate
Correct Answer: A
9. A client in active labor has a prolonged deceleration. What should the
nurse do first?
A. Prepare for an emergency cesarean
B. Administer a tocolytic medication
C. Change the client’s position
D. Increase oxytocin infusion
Correct Answer: C
10. A client 12 hours postpartum has a temperature of 100.8°F. What is the
nurse’s priority action?
A. Administer acetaminophen
B. Assess for signs of infection
C. Encourage fluid intake
2
, D. Document the finding as normal
Correct Answer: B
11. A newborn exhibits jitteriness and poor feeding at 24 hours of age. What
should the nurse assess first?
A. Blood glucose level
B. Oxygen saturation
C. Temperature
D. Bilirubin level
Correct Answer: A
12. A client reports engorged breasts 3 days postpartum. What should the
nurse recommend?
A. Apply ice packs before feeding
B. Stop breastfeeding for 24 hours
C. Feed the newborn frequently
D. Use a breast pump exclusively
Correct Answer: C
13. A postpartum client is prescribed methylergonovine. What is the primary
purpose of this medication?
A. Relieve pain
B. Prevent infection
C. Promote uterine contraction
D. Reduce blood pressure
Correct Answer: C
14. A nurse is teaching a client about postpartum warning signs. Which client
statement requires further teaching?
A. “I should report a fever over 100.4°F.”
B. “Heavy bleeding is normal for a week.”
C. “Severe headaches need immediate attention.”
D. “Foul-smelling lochia is a concern.”
Correct Answer: B
15. A client at 36 weeks gestation reports severe abdominal pain and vaginal
bleeding. What condition should the nurse suspect?
A. Placenta previa
B. Gestational hypertension
C. Preterm labor
D. Hyperemesis gravidarum
Correct Answer: A
16. A client’s amniotic fluid is meconium-stained during labor. What is the
nurse’s priority action?
A. Increase oxytocin infusion
B. Prepare for neonatal resuscitation
C. Administer IV fluids
D. Change the client’s position
Correct Answer: B
3
Questions
Instructions
The following 80 multiple-choice questions are designed to test your knowledge
in Antepartum, Intrapartum, Postpartum Care, Newborn Assessment and Com-
plications, Lactation, Medications, and Patient Teaching. Each question has four
answer choices (A–D). Select the best answer for each question. An answer key
is provided at the end.
Questions
1. A 28-year-old primigravida at 32 weeks gestation reports decreased fetal
movement. What is the nurse’s priority action?
A. Administer oxygen via nasal cannula
B. Perform a nonstress test
C. Prepare for immediate delivery
D. Instruct the client to rest for 2 hours
Correct Answer: B
2. During labor, a client’s fetal heart rate shows late decelerations. What
should the nurse do first?
A. Increase IV fluid rate
B. Position the client on her left side
C. Notify the healthcare provider immediately
D. Apply a fetal scalp electrode
Correct Answer: B
3. A postpartum client 2 days after delivery reports heavy vaginal bleeding
with large clots. What is the nurse’s priority assessment?
A. Fundal height and firmness
B. Lochia color and odor
C. Perineal pain level
D. Blood pressure and pulse
Correct Answer: A
4. A newborn has a heart rate of 90 bpm while sleeping. What is the nurse’s
priority action?
A. Stimulate the newborn to cry
1
, B. Document the finding as normal
C. Administer supplemental oxygen
D. Notify the pediatrician
Correct Answer: A
5. A breastfeeding client reports nipple soreness. What should the nurse rec-
ommend?
A. Apply lanolin cream after feedings
B. Use a nipple shield during feedings
C. Pump instead of breastfeeding
D. Clean nipples with soap before feeding
Correct Answer: A
6. A client at 38 weeks gestation is prescribed nifedipine for preterm labor.
What should the nurse monitor for?
A. Hypertension
B. Hypotension
C. Hyperglycemia
D. Tachycardia
Correct Answer: B
7. A nurse is teaching a pregnant client about gestational diabetes. Which
statement indicates understanding?
A. “I should avoid all carbohydrates.”
B. “I need to monitor my blood sugar daily.”
C. “I can stop insulin after delivery.”
D. “Exercise is not safe during pregnancy.”
Correct Answer: B
8. A client at 20 weeks gestation has a positive quadruple screen. What is the
next step?
A. Schedule an amniocentesis
B. Repeat the quadruple screen
C. Administer RhoGAM
D. Monitor fetal heart rate
Correct Answer: A
9. A client in active labor has a prolonged deceleration. What should the
nurse do first?
A. Prepare for an emergency cesarean
B. Administer a tocolytic medication
C. Change the client’s position
D. Increase oxytocin infusion
Correct Answer: C
10. A client 12 hours postpartum has a temperature of 100.8°F. What is the
nurse’s priority action?
A. Administer acetaminophen
B. Assess for signs of infection
C. Encourage fluid intake
2
, D. Document the finding as normal
Correct Answer: B
11. A newborn exhibits jitteriness and poor feeding at 24 hours of age. What
should the nurse assess first?
A. Blood glucose level
B. Oxygen saturation
C. Temperature
D. Bilirubin level
Correct Answer: A
12. A client reports engorged breasts 3 days postpartum. What should the
nurse recommend?
A. Apply ice packs before feeding
B. Stop breastfeeding for 24 hours
C. Feed the newborn frequently
D. Use a breast pump exclusively
Correct Answer: C
13. A postpartum client is prescribed methylergonovine. What is the primary
purpose of this medication?
A. Relieve pain
B. Prevent infection
C. Promote uterine contraction
D. Reduce blood pressure
Correct Answer: C
14. A nurse is teaching a client about postpartum warning signs. Which client
statement requires further teaching?
A. “I should report a fever over 100.4°F.”
B. “Heavy bleeding is normal for a week.”
C. “Severe headaches need immediate attention.”
D. “Foul-smelling lochia is a concern.”
Correct Answer: B
15. A client at 36 weeks gestation reports severe abdominal pain and vaginal
bleeding. What condition should the nurse suspect?
A. Placenta previa
B. Gestational hypertension
C. Preterm labor
D. Hyperemesis gravidarum
Correct Answer: A
16. A client’s amniotic fluid is meconium-stained during labor. What is the
nurse’s priority action?
A. Increase oxytocin infusion
B. Prepare for neonatal resuscitation
C. Administer IV fluids
D. Change the client’s position
Correct Answer: B
3
